FERNANDO JOSE PENA

PORTLAND, OR
NPI1265700884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  14-11-18)
Enumeration Date2011-12-09
Last Update Date2016-07-27
Business Address
-- FERNANDO JOSE PENA CADC II
10209 SE DIVISION ST BLDG D
PORTLAND, OR 97266-1372
Phone number: 503-716-0481
Mailing Address
-- FERNANDO JOSE PENA CADC II
PO BOX 16756
PORTLAND, OR 97292-0756
Phone number: 503-593-2129
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